Wake waba nobuhlungu obungajwayelekile esifubeni sakho, njengokuzwa isisindo noma ingcindezi, noma ubunzima bokuphefumula? Ngezinye izikhathi, ngemuva kwalezi zimpawu, kungase kube nesimo sezokwelapha esibucayi esingasiqapheli. I-Cardiac Tamponade iyisimo esiphuthumayo esidinga ukwelashwa ngokushesha. Ake sixoxe ngalokhu kalula nangokunembile.
Kuyini i-Cardiac Tamponade? Ake sikuqonde kalula.
Ake sithi inhliziyo yethu ingaphakathi kwesikhwama esivikelayo. Lesi sikhwama sibizwa ngokuthi i-pericardium. Sinezendlalelo ezimbili. Kukhona inani elincane kakhulu loketshezi phakathi kwalezi zendlalelo ezimbili ukusiza inhliziyo ukuthi ihambe kahle futhi kalula lapho ishaya.
I-tamponade yenhliziyo yenzeka lapho igazi eliningi kakhulu, ubomvu, noma olunye uketshezi luqoqana ngaphakathi kwaleso sikhwama. Bese, ngenxa yokuthi uketshezi alunandawo yokuya, luqala ukucindezela nokucindezela inhliziyo.
Lokhu kucindezela kuvimbela amakamelo enhliziyo ukuthi agcwale kahle. Uma inhliziyo ingagcwali igazi kahle, ayikwazi ukupompa inani legazi elidingwa ngumzimba. Ngenxa yalokho, umfutho wegazi wakho wehla ngokuzumayo . Emzamweni wokulawula lesi simo, inhliziyo iqala ukushaya ngokushesha, izikhathi ezingaphezu kwekhulu ngomzuzu.
Lesi yisimo esiphuthumayo sezokwelapha esiyingozi kakhulu futhi esingasongela impilo, ngakho-ke ukwelashwa okusheshayo kubalulekile.
Uyini umehluko phakathi kwe-Pericardial Effusion kanye ne-Cardiac Tamponade?
Kungenzeka ukuthi uke wezwa igama elithi Pericardial Effusion . Kalula nje, ukunqwabelana koketshezi ngaphakathi kwesikhwama esizungeze inhliziyo esikubiza ngokuthi i-Pericardial Effusion ngokwezokwelapha.
Kodwa khumbula, akuwona wonke ama-Pericardial Effusion aba yi-Cardiac Tamponade. Cabanga ngale ndlela, lolu ketshezi luqoqana kancane kancane, ezinyangeni eziningi. Ngemuva kwalokho isikhwama esizungeze inhliziyo sinesikhathi sokunwebeka kancane futhi sibe sikhulu. Ngakho-ke ungase ungabi nazo izimpawu ezinkulu.
Kodwa-ke, uma lolu ketshezi oluqongelelekile lubeka ingcindezi enhliziyweni, luphazamise ukusebenza kwayo , futhi luyivimbele ekupompeni igazi ngendlela efanele, yilokho esikubiza ngokuthi i-cardiac tamponade.
Ziyini izimpawu ze-Cardiac Tamponade?
Lezi zimpawu zingahlukaniswa ngezigaba ezimbili ngokusekelwe endleleni ezenzeka ngayo. Okusho ukuthi, izimpawu zingahluka kuye ngokuthi isimo senzeka ngokuzumayo noma sikhula kancane ngokuhamba kwesikhathi.
| Isibonakaliso | Ulwazi olwengeziwe |
|---|---|
| Izimpawu ezibonakala lapho lesi simo sivela ngokuzumayo | |
| Ubuhlungu obukhulu besifuba | Lobuhlungu bungasakazekela ezindaweni ezifana nengalo, umhlane, intamo, noma ihlombe. Ubuhlungu bungakhula kakhulu uma uphefumula kakhulu, ulele phansi, noma ukhwehlela. |
| Ubunzima bokuphefumula noma ukuphefumula ngokushesha | Ukuzizwa sengathi uyacinana. |
| Ukulahlekelwa ukwazi, isiyezi | Kungabangelwa ukuthi ubuchopho abutholi inani elidingekayo lomoya-mpilo negazi. |
| Ukushintsha kombala wesikhumba | Isikhumba siyashintsha sibe mpunga, sibe mpunga noma sibe luhlaza okwesibhakabhaka. |
| Ukushaya kwenhliziyo | Inhliziyo ishaya ngendlela ezwakala sengathi iyona. |
| Isimo sengqondo esididekile | Ukubonisa isimo sengqondo sokucasuka, ukungaziphathi ngendlela evamile. |
| Izimpawu ezikhula kancane kancane ngokuhamba kwesikhathi | |
| Ukuphelelwa umoya | Ubunzima bokuphefumula, ikakhulukazi uma ukhathele. |
| Ukuvuvukala kwesisu noma imilenze | Ngenxa yokuqongelela koketshezi emzimbeni. |
| Ukukhathala nokukhathala | Ukukhathala ngokweqile okubangelwa ukungatholi igazi elanele emzimbeni. |
| Ukungakhululeki esifubeni | Lokhu kungakhululeki kuncipha uma ugoba phambili noma uhlala phansi. |
Yini ebangela lesi simo?
Kungaba nezimbangela eziningana ze-cardiac tamponade.
Ukulimala
- Ingozi: Ukulimala esifubeni ngenxa yento efana nengozi yemoto noma ukuwa.
- Ukulimala kwezikhali ezibukhali: Ukulimala esifubeni ngenxa yokuthile okufana nokugwazwa ngommese.
Izimo zezokwelapha
- Ukusikwa kwe-aorta .
- Umdlavuza othuthukile .
- Isifo senhliziyo .
- Isifo Sofuba (TB) .
- Ukutheleleka noma ukuvuvukala kwesikhwama esizungeze inhliziyo.
- Ezinye izifo ezibangelwa ukuzivikela komzimba, isibonelo, i-lupus kanye ne-rheumatoid arthritis .
- Umdlavuza wenhliziyo.
- Ukwehluleka kwenhliziyo noma kwezinso.
- Ukungasebenzi kahle kwe-thyroid (i-Hypothyroidism) .
Ngemva kokwelashwa kwezokwelapha
Ngezinye izikhathi lesi simo singaba khona njengomphumela ongemuhle wokwelashwa.
- Ukuhlinzwa enhliziyweni noma okuhlobene nayo.
- Izinqubo ezisekelwe ku-catheter .
- Ukufakelwa kwedivayisi efana ne- pacemaker .
- Ukwelashwa ngemisebe endaweni yenhliziyo.
Itholakala Kanjani I-Cardiac Tamponade?
Uma uya esibhedlela, udokotela uzokuhlola kuqala.
- Ngibheke izinga lokushaya kwenhliziyo yakho.
- Umfutho wegazi uyalinganiswa.
- Uhlola ukuphefumula.
- Inhliziyo namaphaphu kulalelwa nge-stethoscope.
- Bahlola uphawu olubizwa ngokuthi i-pulsus paradoxus , okuyilapho umfutho wegazi wakho wehla ngendlela engavamile njalo uma uphefumula.
U-Beck's Triad
Kunezici ezintathu eziqondile odokotela abazisebenzisayo ukuxilonga lesi simo. Sisibiza ngokuthi yi -Beck's triad .
- Umfutho wegazi ophansi (hypotension) .
- Imithambo entanyeni ibonakala sengathi iyavuvukala.
- Ukuzwa ukushaya kwenhliziyo kude kakhulu, phansi, uma ulalele nge-stethoscope.
Kodwa lezi zimpawu ezintathu azibonakali kuzo zonke iziguli.
Ukuhlolwa kokuxilonga
- I-Echocardiogram (Echo): Lesi isivivinyo esibaluleke kakhulu. Kufana nokuskena kwenhliziyo. Kungabona ngokucacile ukuthi kungakanani uketshezi oluzungeze inhliziyo nokuthi inhliziyo iqine kangakanani.
- I-X-ray yesifuba: Ukuhlolwa kwe-X-ray yesifuba.
- I-CT scan: I-computerized tomography scan.
- I-Electrocardiogram (EKG): Ukuhlolwa komsebenzi kagesi wenhliziyo.
- Ukufakwa kwe-catheter enhliziyweni: Ukudlulisa i-catheter enhliziyweni nokulinganisa ukucindezeleka.
Iphathwa kanjani?
Ukwelashwa okuyinhloko nokusheshayo kwalokhu ukususa uketshezi oluqongelelene enhliziyweni .
Odokotela bavame ukwenza inqubo ebizwa ngokuthi i-pericardiocentesis , ehilela ukufaka inalithi esikhwameni esizungeze inhliziyo nokukhipha uketshezi oluningi.
Kodwa ngezinye izikhathi ukuhlinzwa kuyadingeka.
- Uma lesi simo sivele ngenxa yengozi.
- Uma udinga ukulungisa umonakalo wangaphakathi.
- Uma inaliti ingakwazi ukufinyelela endaweni lapho uketshezi luqoqene khona.
- Uma udinga ukususa isikhwama esizungeze inhliziyo yakho.
Ezimweni ezinzima kakhulu, isibonelo lapho inhliziyo isizoma, i-thoracotomy ingenziwa, ngisho naseMnyangweni Wezimo Eziphuthumayo (ETU) .
Ngaphezu kwalokho, imbangela eyisisekelo ye-cardiac tamponade nayo idinga ukwelashwa. Ngakho-ke, uzonikezwa imithi yokuqeda izinhlungu, ama-antibiotic, noma eminye imithi.
Ukululama nokuthi yini okufanele uyenze ngokulandelayo
Uzozizwa ukhululekile ngokushesha ngemva kokukhishwa koketshezi oluningi oluzungeze inhliziyo yakho. Uma uketshezi oluningi lunqwabelana, ipayipi lokukhipha amanzi lingashiywa endaweni yalo usuku noma ezimbili ukuze likhishwe.
Ngemva kokubuyela ekhaya usuka esibhedlela, kubaluleke kakhulu ukuphuza imithi oyinikezwe udokotela wakho ngesikhathi esifanele . Futhi, qiniseka ukuthi uya khona ngesikhathi sokulandelela. Lesi simo singaphinde sibuye. Ngakho-ke, kubalulekile ukuqhubeka nokuqapha isimo esiyisisekelo.
Umlayezo Wokuya Nawe Ekhaya
- I-Cardiac Tamponade iyisimo esiphuthumayo sezokwelapha esisongela impilo lapho uketshezi luqoqana khona nxazonke zenhliziyo, okubangela ukuba ibanjwe.
- Uma uzwa izimpawu ezifana nobuhlungu besifuba obubukhali, ubunzima bokuphefumula, isiyezi, noma ukulahlekelwa ukwazi, ungazinaki. Yiya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela ngokushesha.
- Ukwelashwa okuyinhloko kwalokhu ukususa uketshezi olungeziwe oluzungeze inhliziyo ngenaliti noma ngokuhlinzwa.
- Ukuze kuvinjelwe lesi simo ukuthi singaphinde sivele, kubalulekile ukwelapha kahle isimo esiyisisekelo.
- Ngisho nangemva kokuphuma esibhedlela, landela imiyalelo kadokotela wakho njengoba nje inikezwe. Yiya emitholampilo ngezinsuku ezihleliwe.
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